Individual provider · Type 1 NPI

Griffin NMN Datcher Jr., PA-C

Medical Physician Assistant · Temple, TX

NPI number 1316043953 Active

Practice location

1901 S 1st St
Temple, TX 76504-7451

Mailing address

902 N 13th St
Temple, TX 76501-2523

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10147792 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1316043953

Griffin NMN Datcher Jr., PA-C's National Provider Identifier is 1316043953, issued on Sep 14, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Temple, TX. The record was last updated on Jul 8, 2007.